| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habilitation, residential, waiver; per diem |
3,640 |
3,576 |
$20.61M |
| T2020 |
Day habilitation, waiver; per diem |
2,364 |
1,970 |
$828K |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
700 |
699 |
$604K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,098 |
1,094 |
$560K |
| T2002 |
Non-emergency transportation; per diem |
2,773 |
2,765 |
$331K |
| T2022 |
Case management, per month |
2,223 |
2,222 |
$256K |
| T2025 |
Waiver services; not otherwise specified (nos) |
139 |
136 |
$13K |
| 0012A |
|
29 |
29 |
$1K |
| 0011A |
|
29 |
29 |
$459.07 |